MANAGER, CLAIMS

This position is responsible for the management of the Claims Department.  Responsibilities include: Plan for, develop and manage the quality and productivity of Production (claim) teams, coordinate site wide issues; Align with key business partners to serve the customer(s).

·          Foster and maintain a collaborative relationship with internal and external customers to ensure customer satisfaction and profitability; work with business partners to identify ways to improve business processes.

·          Drive successful business results and customer satisfaction.

·          Assist in building, reviewing and adhering to the annual business plan.

·          Control expenses and increase profitability via productivity and quality gains.

·          Work with the Supervisor and teams to ensure performance guarantees are met.

·          Ensure the Production Team and Supervisors continually improve their performance.

·          Ensure the Production organization meets Service Level Agreements/Performance Guarantee goals.

·          Ensure team is aligned to and meeting the goals of the business plan.

·          Organize and direct quality work efforts.

·          Maximize team performance against site objective.

·          Review teams work results and pattern of handling claims queues and adjustments.

·          Partner with supervisors to ensure teams are meeting production and quality metrics.

·          Use appropriate controls to manage the teams’ production.

·          Provide strategic guidance for the production organization.

·          Play a leadership role by implementing action plans to increase quality and productivity.

·          Accomplish annual business plans including operating budgets.

·          Effectively provide direction for the teams.

·          Communicate site business objectives and results.

·          Enable team to develop and complete their plan in support of site objectives.

·          Negotiates solutions and resolves conflicts.

·          Anticipates and handles critical situations.

·          HS.

·          Bachelors preferred.

·          5+ years experience in related field.

·          Diverse problems that require interpretation of administrative and/or technical issues. 

·          Design, plan and execute project related tasks.

·          Designs and documents procedures.

·          Must have effective supervisory skills: planning, organizing, monitoring and coaching. 

·          Demonstrated proficiency in leadership.

·          Several administrative and/or technical duties. 

·          Provides guidance, information and/or services.

·          Decisions and actions may have a direct impact on the performance or staff function objectives.

·          Considerable discretion as to work details.

·          Responsible for timely project completion.

·          Requires specialized knowledge where problems, assignments, and/or duties are difficult but related.

·          Thinking is independent but structured by broad principles and/or procedures. 

·          Individual performance of or supervision of several different activities. 

·          Requires integration and coordination of work. 

·          Procedural knowledge essential.

·          Thorough understanding of bookkeeping and accounting practices.

·          High aptitude for working with numbers.

·          Normal degree of physical effort in typical office environment with comfortable, constant temperatures and absence of objectionable elements. 

·          May be subject to interruptions.

·          Required to work computer.

·          Knowledge of Microsoft Office Suite as well as other business related software;

·          10 key.

·          Able to type 30+ words per minute.